Erythrodermic psoriasis
Erythrodermic psoriasis is a particularly inflammatory
form of psoriasis that often affects about 85% of the body
surface. It is characterized by periodic, widespread, fiery
redness of the skin. The reddening and shedding of the skin
are often accompanied by severe itching and pain.
Patients having an erythrodermic psoriasis flare should make
an appointment to see a doctor immediately. Erythrodermic
psoriasis causes protein and fluid loss that can lead to severe
illness. Swelling from fluid retention, especially around
the ankles, may also develop along with infection. The body's
temperature regulation is often disrupted, producing shivering
episodes. Infection, pneumonia and congestive heart failure
brought on by erythrodermic psoriasis can be life-threatening.
People with severe cases of this condition often require hospitalization.
Known triggers of erythodermic psoriasis include sudden withdrawal
of systemic treatment; the use of systemic steroids (cortisone);
an allergic, drug-induced rash that brings on the Koebner
response (a tendency for psoriasis to appear on the site
of skin injuries); and severe sunburns.
Initial treatment usually includes medium-potency topical
steroids and moisturizers, combined with wet dressings, oatmeal
baths and bed rest. Antibiotics may also be used. Careful
attention is paid to restoring and maintaining fluids in the
body.
Principal Authors: DermaHarmony Editorial
Staff
Date of Publication: 03/13/2004
Updated: 11/25/2007
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